Treatment and Stabilization of Beak Symphyseal Separation Using Interfragmentary Wiring and Provisional Bis-Acryl Composite

Application of 3D-printed prosthetic lower beak in an Oriental stork (Ciconia boyciana)

To our knowledge, ours is the first case of applying a 3D-printed prosthetic beak to an Oriental stork (Ciconia boyciana). A stork in captivity underwent several surgeries for beak fractures, but the lower-mandible fractures failed to be repaired. Therefore, we applied a patient-specific beak prosthesis of titanium alloy and nylon. Because the prosthetic beak could not be maintained due to mandible and soft-tissue inflammation, the stork was euthanized. Still, we confirmed typical behavior and feeding for ~3 months after surgery. This report highlights some of the challenges we encountered and identifies process improvements required for a more successful surgery.

USE OF ACRYLIC RESIN PROSTHESES IN THE TREATMENT OF RHINOTHECAL FRACTURES

This report describes the use of synthetic acrylic resin prostheses in five birds with rhinothecal fracture. Satisfactory biomechanical and clinical results were obtained in all cases, enabling early return to function of the beak. The patients, a roadside hawk (Rupornis magnirostris; case 1), a cockatiel (Nymphicus hollandicus; case 2), two turquoise-fronted parrots (Amazona aestiva; cases 3 and 4), and a maritaca (Pionus maximiliani; case 5), all suffered rhinothecal fractures with extensive bone loss, resulting in malnutrition, dehydration, and difficulty in handling food. An acrylic prosthesis was chosen in all cases, with the resin mold formed with two 1.0-mm pins in four cases, and cerclage wires in case 2. All birds made an excellent recovery and showed early use of the beak, with no complications for up to 15 mon. After 21 d of observation, the patients were moved to zoo enclosures for rehabilitation. The treatment of rhinothecal fractures is very challenging and requires a combination of orthopedic and dental techniques to provide full recovery of the species' natural functions.

Middle upper beak fracture in a Red-crowned crane that completely recovered with external skeletal fixation

An adult Red-crowned crane in captivity that had a displaced compound fracture of the middle upper beak caused by an accident was treated by using Type I-a external skeletal fixator (ESF). The ESF that was equipped with a unilateral epoxy putty fixator and with five half-pins was fixed on the premaxilla bone. The crane with the ESF on the beak was able to feed smoothly by itself. The ESF was removed 49 days after the first surgery. Beak malocclusion, which was observed in the latter half period of fixing, spontaneously improved within one month after removal of the ESF. This is the first successful case of repair of an upper beak fracture in a Red-crowned crane.

Avian Skull Orthopedics

Because the avian skull is the reflection of the wide biodiversity of birds, many anatomic, morphologic, and functional variations are encountered. The main objectives of this article are to review the surgical considerations associated with the functional anatomy of the avian jaw apparatus and its variation among species, and to describe the general medical and surgical management of head traumatic and developmental disorders in birds.